ALL CITY FAMILY HEALTH CORP (NPI# 1003901687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003901687 |
Entity Type | Organization |
Organization Name | ALL CITY FAMILY HEALTH CORP |
Practice Address |
4721 E Moody Blvd Bldg 1 Suite 103 Bunnell FL 32110-7706 |
Practice Telephone | 3865861229 |
Practice Fax Number | 3865862887 |
Mailing Telephone | 3865861229 |
Mailing Fax Number | 3865862887 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-07-30 |
Authorized Official Name | ERIC M ORDONEZ (OWNER) |
Authorized Official Telephone | 3865841229 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FL BLUE SHIELD | GK4 | 01 |
FL | RAILROAD MEDICARE | P00307040 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356467773 | All City Family Health Corp | Clinic/Center | 419 Anastasia Blvd, Saint Augustine, FL 32080-4508 | 2007-03-21 |
1598881914 | All City Family Health Corp | Clinic/Center | 905 Saint Johns Ave, Palatka, FL 32177-4649 | 2007-03-21 |
Street Address |
4721 E MOODY BLVD BLDG 1 SUITE 103 |
City | BUNNELL |
State | FL |
Zip Code | 32110-7706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679673396 | Palm Coast Chiropractic Center, Jta Inc | Chiropractor | 4721 E Moody Blvd, Suite 101, Bunnell, FL 32110-7706 | 2006-09-23 |
1750708004 | Chance 2 Change | Clinic/Center | 4721 E Moody Blvd, Ste 107, Bunnell, FL 32110-7705 | 2014-03-25 |
1578991782 | Qwikcare Inc | Nurse Practitioner | 4721 E Moody Blvd, Suite 204, Bunnell, FL 32110-7705 | 2013-10-25 |
1427316082 | Neal A Isaac | Physical Therapist | 4721 E Moody Blvd, Building #1, Suite 103, Bunnell, FL 32110-7705 | 2012-05-01 |
1598968257 | Kimberly A Sanfilippo | Respiratory Therapist, Registered | 4721 E Moody Blvd, Bldg 1 Ste 103, Bunnell, FL 32110-7705 | 2007-06-08 |
1386847051 | Ginger Tripp | Physical Therapist | 4721 E Moody Blvd, Blg 1 Ste 103, Bunnell, FL 32110-7705 | 2007-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
1518225408 | Christopher Manly Deck | Occupational Therapy Assistant | 5795 Chestnut Ave, Bunnell, FL 32110 | 2012-04-27 |
1588947337 | Flagler Mental Health Center, Pa | Community/Behavioral Health | 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 | 2011-09-27 |
1922273606 | Nancy Hutt Culver | Technician | 2384 County Rd 305, Bunnell, FL 32110 | 2008-04-24 |
1487772984 | Jennifer Lois Fraser | Dentist | 35 Caroline Street, Bunnell, FL 32110 | 2007-03-26 |
1750463154 | Jennifer L Thornton | Chiropractor | 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 | 2006-10-19 |
1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
1245326990 | Patrick Gerald Reed | Chiropractor | 4601 East Highway 100, Suite G4, Bunnell, FL 32110 | 2006-10-04 |
1013000652 | Flagler Diagnostic & Sleeping Disorder, Inc, Inc | Clinic/Center | 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110 | 2006-10-02 |
Find all providers in zip 32110 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
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---|---|---|---|---|
1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
1043846454 | Recovery Is Hope, LLC | Clinic/Center | 2512 W Cherry St Apt E, Tampa, FL 33607-3355 | 2020-03-17 |
1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.